Tip:
Highlight text to annotate it
X
Hello my name’s Adrian Richards, I’m a plastic and cosmetic surgeon and the surgical
director of Aurora Clinics which is based here in the United Kingdom. Today I’m going
to be talking you through an operation I did on this lady. As you can see from the before
photos, she’s got considerable breast asymmetry, both nipples are in a low position but the
right is particularly low. This is with the preoperative markings, you can see that upper
semicircle is where I’m going to lift the nipples up to. So I’m going to perform more
of an elevation on the right because the *** is lower. The nipples typically are elevated
to a level of 21cm from the sterna notch at the base of your neck in a woman of normal
height. Here you can see her tummy. Again she’s
got excess tissue in the front and in the side and because she’s got excess tissue
in the side, I will perform extended abdominoplasty, taking the tissue away there. This is with
her asleep and as you can see, she’s got a lot of skin laxity and this is the tissue
I’m going to remove. So I’m going to remove the tissue really between those lines there
and my incision is going to be on the lower line there. This is with the tummy button
cut around and on a stalk so her normal tummy button is going to be used but just brought
out through a new hole, as you’ll see in a minute. This is my lower incision so I’m
cutting through the fatty tissue gently here and then I elevate the skin flap. So you can
see the skin is elevated here from the underlying muscles. My next stage is to divide this skin
in two, I always take the skin in two parts from the breast so I can be as accurate as
possible and I weigh each side independently to make sure they’re very similar weights.
Here you can see this is the skin I’m going to remove in this lady. I’m just demonstrating
here, this is the tummy button brought through on a stalk and this is the hole through which
I’m going to bring the tummy button. So the tummy button, although it’s the old
tummy button, is brought through a new hole and you can see this is the tissue I’ve
removed. In this case, I removed approximately one kilogram of tissue from each side. As
I mentioned, this is an extended abdominoplasty because this lady had excess tissue in her
flanks. So this is with the wound closed and you can see I’ve gone right round the flanks
to give her a nice hip shape. So this is before the operation and this is
at one week following the operation with the tapes on but you can see the nipples are in
a higher position. This is the tummy before the operation and this is it taken two weeks
after, again with the tape on. So I hope you’ve found that video interesting, if you’d like
any more information about this or any other cosmetic surgical procedure, please feel free
to contact us, either via our website or by phoning our office directly. We’ll be more
than happy to answer any queries you have and we look forward to hearing from you.